The primary nursing intervention for acute asthma exacerbation is administering bronchodilators (short-acting beta-agonists like albuterol) and oxygen to relieve bronchospasm and improve oxygenation. Asthma exacerbation features: wheezing, dyspnea, cough, chest tightness, decreased peak expiratory flow. Severe signs: difficulty speaking, use of accessory muscles, hypoxia, altered consciousness. Nursing actions: administer oxygen to maintain SpO2 >90%; give nebulized bronchodilators (may be continuous in severe cases); administer systemic corticosteroids; monitor respiratory status and peak flow; prepare for possible intubation if respiratory failure. Education includes: trigger avoidance; proper inhaler technique; asthma action plan; and when to seek emergency care. Documentation includes respiratory assessment, medications given, and response. Status asthmaticus (unresponsive to treatment) requires intensive care. Nurses also address anxiety which worsens breathing. Prevention through controller medications and trigger management reduces exacerbations.

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Zambia

• Joseph Soko – 101 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies